Q. What is the management of erectile dysfunction and premature ejaculation?

Answered by Dr. Nidhi Jain Bukharia and medically reviewed by iCliniq medical review team.

 

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Hello doctor,

My problem is erectile dysfunction and premature ejaculation. I am 29 years old, 78 kg, 5'7" height.


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Dr. Nidhi Jain Bukharia
MBBS., D.P.M.(CENTRAL INSTITUTE OF PSYCHIATRY)., EX SENIOR RESIDENT AIIMS
Psychiatry, Psychologist/ Counsellor, Sexology

Hi,

Welcome to icliniq.com.

For providing you the proper treatment I need to know the answers to the following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Is the condition constant with other sexual partners, if any? Smoking? Alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, a headache, forgetfulness, excessive sweating, shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment.

 

Thank you doctor,

I am 29 years old. I have been in a relationship for two months and am not married. Yes, I have slept with two sex workers. I do not have any history of diabetes and hypertension, the condition is persistent. I cannot last even one minute during sexual intercourse. The condition is constant even with any partner. I take alcohol once per week, no medication or homeotherapy. About my penis, it has shrunk and not strong and curved when it is erect. I do not have any history of trauma, surgery, neurological disorder. I have all of those features that you have asked like persistent low mood, lack of interest in work, low energy, lack of concentration, memory loss, disturbed sleep, ideas of hopelessness, helpless and guilty change in appetite, forgetfulness, shaking of hands, excessive sweating, headache. I have all of these symptoms and have masturbated for 12 years.

 

Dr. Nidhi Jain Bukharia
MBBS., D.P.M.(CENTRAL INSTITUTE OF PSYCHIATRY)., EX SENIOR RESIDENT AIIMS
Psychiatry, Psychologist/ Counsellor, Sexology

Hi,

Welcome back to icliniq.com.

Your history is suggestive of mixed anxiety and depressive disorder. Take tablet Paxidep 12.5 mg, twice daily. It will help in your depression as well as premature ejaculation. Take tablet Tadalafil 10 mg one tablet one hour before intercourse. It will help in erection problem.

 

Thank you doctor,

The erectile dysfunction will be cured permanently or does it have side effects?

 

Dr. Nidhi Jain Bukharia
MBBS., D.P.M.(CENTRAL INSTITUTE OF PSYCHIATRY)., EX SENIOR RESIDENT AIIMS
Psychiatry, Psychologist/ Counsellor, Sexology

Hi,

Welcome back to icliniq.com.

Paxidep tablet you have to take for at least 6 to 8 months. Then these problems will resolve permanently.

 

Thank you doctor,

What about tablet Tadalafil 10 mg and for how long should I take this tablet?

 

Dr. Nidhi Jain Bukharia
MBBS., D.P.M.(CENTRAL INSTITUTE OF PSYCHIATRY)., EX SENIOR RESIDENT AIIMS
Psychiatry, Psychologist/ Counsellor, Sexology

Hi,

Welcome back to icliniq.com.

It depends on the response.

 

Hi doctor,

Thank you for your assistance.

 

Dr. Nidhi Jain Bukharia
MBBS., D.P.M.(CENTRAL INSTITUTE OF PSYCHIATRY)., EX SENIOR RESIDENT AIIMS
Psychiatry, Psychologist/ Counsellor, Sexology

Hi,

Welcome back to icliniq.com.

You are always welcome.

 
 
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